Renal Transplant Artery Stenosis and Kinking: An Unusual Association

R. Haridian Sosa Barrios; V. Burguera Vion; E. Casillas Sagrado; D. Villa Hurtado; S. Jiménez Álvaro; I. Martín Capón; M. Fernández Lucas; Maite E. Rivera Gorrín – Renal artery stenosis of the kidney allograft is an infrequent finding, as is mechanical kinking of the artery. The right renal artery’s greater length in comparison to the vein, limited space within the iliac fossa, and post-operative shifting in graft components all increase the likelihood of kinking. Renal artery stenosis and kinking can either coexist or kinking can result in stenosis. Nevertheless, since both these abnormalities can be corrected with timely treatment, early diagnosis is crucial to prevent permanent to the renal allograft.

Integrating Point of Care Ultrasound into Nephrology Fellowship Training: Insights from a Pilot Program

Ann Young, MD PhD; Benoit Imbeault, MD; Alberto Goffi, MD; Alireza Zahirieh, MD; Claire Kennedy, MD; Daniel Blum, MDCM; Ron Wald, MDCM MPH; William Beaubien-Souligny, MD PhD – In nephrology, point of care ultrasound (POCUS) has multiple applications including the rapid evaluation of acute kidney injury, enhancing the initial evaluation of chronic kidney disease, direct evaluation of vascular access, and improved fluid balance management in acute and chronic settings. Recently, the role of POCUS has been formally acknowledged by the American College of Physicians and curricula specific to nephrology have been proposed.

Point of Care Ultrasound in Monitoring of Post-Renal Biopsy Bleeding

Natalie N. McCall, MD; Anna Burgner, MD, MEHP – A 32-year-old male presented with hypertensive emergency and features of thrombotic microangiopathy. He underwent a kidney biopsy after renal dysfunction persisted despite clinical improvement otherwise. The kidney biopsy was performed with direct ultrasound guidance.